National Provider Identifier [NPI]: |
1750330379 |
Last Name Of The Provider |
URNES |
First Name Of The Provider |
KARA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
939 CAROLINE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
PORT ANGELES |
Zip Code Of The Provider |
983623909 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
2553 |
Number Of Medicare Beneficiaries |
1422 |
Total Submitted Charge Amount |
339468.85 |
Total Medicare Allowed Amount |
174127.54 |
Total Medicare Payment Amount |
123449.76 |
Total Medicare Standardized Payment Amount |
125744.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
2553 |
Number Of Medicare Beneficiaries With Medical Services |
1422 |
Total Medical Submitted Charge Amount |
339468.85 |
Total Medical Medicare Allowed Amount |
174127.54 |
Total Medical Medicare Payment Amount |
123449.76 |
Total Medical Medicare Standardized Payment Amount |
125744.11 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
537 |
Number Of Beneficiaries Age 75 to 84 |
544 |
Number Of Beneficiaries Age Greater 84 |
246 |
Number Of Female Beneficiaries |
694 |
Number Of Male Beneficiaries |
728 |
Number Of Non Hispanic White Beneficiaries |
1334 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
39 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1272 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
150 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.227 |